Event # 5949

Cultus Lake Oct 19, 2024. 10 am - Registration Form

*Participant First Name
*Participant Last Name
*Phone	Receive event updates by text message Subscribe to text message list
*Email	Subscribe to email list
*Gender	Male Female Other
*Role
*Date of Birth
*Please provide a club boat/ paddle etc for me for this event:	Yes No
*Photo consent: I grant the CCEPC the right to use photographs or video of myself or my child on the CCE Paddling club website, or social media sites (Facebook, Instagram)	Yes No
For meet-up group paddles: I confirm that I have adequate skills to safely take care of myself during this paddle event:	Yes No
*Emergency contact Name
*Emergency contact phone #
Medical concerns
Comments

*Fee